Indiana
Professional Licensing Agency
Padmavathi Tummala
Physician Assistant
License number
10001516A
Date granted
05/13/2013
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Fort Wayne IN 46825
indianalicensing.org
ID 8389951
LAST UPDATED 2024-06-14 08:14:03 UTC
LAST UPDATED 2024-06-14 08:14:03 UTC
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